Web by Design: Sample Form Page

1	<FORM METHOD="post" ACTION="http://">
2	Name:
	E-mail Address:	in form of jsmith@iupui.edu
	Work Phone Number:
	Mailing Address:
3	What is your favorite ice cream flavor (choose only one) Vanilla Chocolate Strawberry Other—Identify:
4	Do you have a
5	How did you discover your favorite place(s) to eat ice cream? (check all that apply) Cindy Word-of-Mouth Ice Cream Man Drove By Neighborhood Kid—Please identify:
6	Please add any additional comments or explanation that you desire:
7

Sample Web Form